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Individual

MR. TERRENCE WILLIAM MCKNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1340 S WALDRON RD, FORT SMITH, AR 72903-2556
(479) 452-5040
(479) 452-5047
Mailing address
PO BOX 23700, BARLING, AR 72923-0700
(479) 452-5040
(479) 452-5047

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P9609024
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000285335
UNITED BEHAVIORAL HLTH
AR
01
06070021700
QUALCHOICE
AR
01
5T216
BLUE CROSS
AR
Enumeration date
05/23/2006
Last updated
11/15/2013
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